FEDEX FLIGHT 1478
- More Research Into The Effects of Fatigue
- Shorter Duty Day
- "Black Hole Illusion" Recurrency Training
- More ADM Training for ALL Flight Crew
- Continue On Briefed Approach
- Go Around, Go Around, Go Around!
Crew Recommendations
Jenna Glasa & Bret Louderback
Injuries To Flight Crew
- All Three Crew Members Seriously Injured
- NTSB Report Only Contains First Officer's
Hospitalization Record
- Severe Chest Injuries
- Hypoxemia
- Right Lower Lobe Lung Consolidation
- Breathing Rate Upon Arrival: 16 BPM
BIBLIOGRAPHY
- http://www.ntsb.gov/doclib/reports/2004/AAR0402.pdf
- http://www.airdisaster.com/photos/fdx1478/photo.shtml
- http://www2.airliners.net/aviation-forums/general_aviation/read.main/1002974/
SUMMARY OF DAMAGE
Crew
Captain
- Age: 55 Years Old
- Hours: Approximately 13,000-14,000
- 727 PIC - 861 Hours
- Years with FedEx: 13 Years
- Ratings: ATP w/Multi-Engine Land
Type Rating in 727, CE-500, CL-600
Crew (Continued)
First Officer
- Age: 44 Years Old
- Hours: Approximately 7,500 - 8,500 Hours
- Years with FedEx: 4.5 Years
Crew (Continued)
Flight Engineer
- Age: 33 Years Old
- Hours: 2,600 Hours
- Time With FedEx: 10 Months
QUESTIONS?
Accident Facts
Glide Path
- All Pilots Recall Seeing Normal Glidepath
- "Normal Flight Until Last Few Seconds"
- NTSB proved ALL RED for 42 seconds
Cockpit Voice Recorder
Damages To Airframe
- Airframe was completely destroyed
- Caused Initially By Crash
- Post Crash Fuel Fire
General Information
- Date: 26 JUL 2002
- FedEx Flight 1478
- Departure Airport: KMEM (Memphis)
- Arrival Airport: KTLH (Tallahassee)
- Boeing 727-232F
- N497FE
Damage To Airport
- Minor Damage To Airport Property
- Main Damage To Airport Was Downed
Trees
- Fire Burned 1000' From Runway
- Damage Mainly Aesthetically Unpleasant
NTSB Findings
- Cause of Accident Was Human Error
- Pilots Out of Currency for Black Hole Training
- FO's Color Vision Test Not Adequate
- Fatigue Was A Contributing Factor
- Failure to Establish Proper Glidepath
Overview
- General Information
- Crew
- Aircraft
- Accident Facts
- CVR
- Damages
- NTSB Findings
- Recommendations
- Previous recommendations about fatigue
- Previous recommendations about CFIT
- Recommended continued research on color vision deficiency tests
- Especially for glideslope, light gun signals, emergency situations, etc.
NTSB Recommendations
Aircraft
- Manufacture Date: September 1974 (Purchased from Delta Airlines in 1990)
- Engines: 2 P&W JT8D-15
1 P&W JT8D-15A
- Captain: Flight time: 1:23, Duty time: 2:35
- Stayed Up Night Prior Taking Care of Sick Dog
- First Officer: Flight time: 4:02, Duty time: 10:29
- Flight Engineer: Flight time: 3:43, Duty time: 10:41
- All three members had different flight, duty and sleep schedules prior to the accident
Fatigue
Accident Facts
- First Time All Three Crew Flew Together
- Captain and FE Flew Together Before
- During Descent Brief, FE Briefed Moderate CFIT Risk at KTLH
Crew Resource Management
Accident Facts
WEATHER
- Night VFR Conditions
- IFR Flight Plan
- Weather Information Before Accident
- Wind: 120 @ 5 Knots
- Visibility: 9 Statute Miles
- Clouds: Few at 100; SCT 18,000; SCT 25000
Precision v.s. Non-Precision
- Originally Chose Visual RWY 27
- Backed Up With ILS RWY 27
- Captain Changed Plan for Visual RWY 9
- No Glideslope on RWY 9, but had PAPI
- Confusion In Cockpit Until Turning Final
- No Callouts On Final